El ligamento inguinal se divide en tres porciones: lateral, por delante del musculo iliopsoas, se inserta por medio de dos haces en la fascia lata, entre los cuales pasa el nervio cutaneo femoral lateral, el resto termina en la fascia iliaca
; intermedia, donde se encuentra el anillo femoral, por donde pasan los vasos femorales; y medial, pertenece al ligamento lacunar y al ligamento reflejo.
In one cadaver (Fig.3a.), the main tendon turned medially to merge with obturator fascia, while its shiny aponeurotic fibres were seen in fascia iliaca as well.
In two cases, it splits into a superficial layer which joins the deep surface of fascia iliaca as ribbon like bands.
Successful removal of a knotted fascia iliaca
catheter: principles of patient positioning for peripheral nerve catheter extraction.
Loss of resistance is felt as the needle pierces the fascia--first from the needle passing the fascia lata, and then as the needle traverses the fascia iliaca
. Local anaesthetic (10 ml) is injected below the fascia lata, and 20-30 ml is injected below the fascia iliaca
Two studies compared FNB with fascia iliaca block and found that they provided comparable analgesia for major knee surgery (10,11).
Finally fascia iliaca blocks placed by surgeons or anaesthetists reduced patients' pain, sedation scores and analgesic requirements after hip and femoral surgery (25,26).
In other case reports of catheter adherence in the epidural, fascia iliaca
and perineural femoral nerve spaces, catheters have been successfully removed in some cases without invasive intervention by encouraging patient positioning that does not draw tension across the anatomical area where the catheter has been placed (2,5).
Following anaesthetic review the following morning, a plan was made for general anaesthesia combined with continuous fascia iliaca
(1.) Stevens M, Harrison G, McGrail M., A modified fascia iliaca
compartment block has significant morphine sparing effect after total hip arthroplasty.
We assessed whether a modified fascia iliaca
compartment block in unilateral total hip arthroplasty provides a morphine-sparing effect in the first 24 hours.
Anterior approaches to the lumbar plexus (for example, the fascia iliaca
compartment block as described by Dalens et al (3), where the injection point is remote from neurovascular structures) may be a safer alternative and may be as suitable (or even more suitable) for a continuous technique.